title: Brain tuberculomas mimicking intracranial metastasis in a patient presenting with fits.
abstract: Brain tuberculosis is still prevalent in many developing countries, especially Asian countries. Tuberculomas should always be considered in the differential diagnosis of enhancing intra-axial lesions of the brain. Brain tuberculomas can present in many different clinical and radiological patterns clinically like headache, fits, cranial nerve palsies and very rarely as brain tuberculomas. We describe the case of a 48 years old male patient presenting with persistent headache and fits, referred for workup of brain metastasis or primary brain neoplasm. On further imaging, it turned out to be multiple tuberculomas of brain which resolved on anti-tuberculous treatment along with symptoms relief.
authors.affiliation: Department of Medicine, Foundation University Medical College and Hospital, Rawalpindi.
authors.forename: Murtaza
authors.initials: M
authors.lastname: Gondal
authors.forename: Sumera
authors.initials: S
authors.lastname: Mushtaq
authors.forename: Tassawar
authors.initials: T
authors.lastname: Hussain
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006261:Headache / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000209:etiology*; D016896:Treatment Outcome; D014374:Tuberculin Test; D016862:Tuberculoma, Intracranial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000995:Antitubercular Agents